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Public Act 92-0182
SB319 Enrolled LRB9202811JStm
AN ACT relating to insurance.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Insurance Code is amended by
changing Section 370c as follows:
(215 ILCS 5/370c) (from Ch. 73, par. 982c)
Sec. 370c. (1) On and after the effective date of this
Section, every insurer which delivers, issues for delivery or
renews or modifies group A&H policies providing coverage for
hospital or medical treatment or services for illness on an
expense-incurred basis shall offer to the applicant or group
policyholder subject to the insurers standards of
insurability, coverage for reasonable and necessary treatment
and services for mental, emotional or nervous disorders or
conditions up to the limits provided in the policy for other
disorders or conditions, except (i) the insured may be
required to pay up to 50% of expenses incurred as a result of
the treatment or services, and (ii) the annual benefit limit
may be limited to the lesser of $10,000 or 25% of the
lifetime policy limit.
(2) Each insured that is covered for mental, emotional
or nervous disorders or conditions shall be free to select
the physician licensed to practice medicine in all its
branches, licensed clinical psychologist, or licensed
clinical social worker, or licensed clinical professional
counselor of his choice to treat such disorders, and the
insurer shall pay the covered charges of such physician
licensed to practice medicine in all its branches, licensed
clinical psychologist, or licensed clinical social worker, or
licensed clinical professional counselor up to the limits of
coverage, provided (i) the disorder or condition treated is
covered by the policy, and (ii) the physician, licensed
psychologist, or licensed clinical social worker, or licensed
clinical professional counselor is authorized to provide said
services under the statutes of this State and in accordance
with accepted principles of his profession.
Insofar as this Section applies solely to licensed
clinical social workers and licensed clinical professional
counselors, those persons who may provide services to
individuals shall do so after the licensed clinical social
worker or licensed clinical professional counselor has
informed the patient of the desirability of the patient
conferring with the patient's primary care physician and the
licensed clinical social worker or licensed clinical
professional counselor has provided written notification to
the patient's primary care physician, if any, that services
are being provided to the patient. That notification may,
however, be waived by the patient on a written form. Those
forms shall be retained by the licensed clinical social
worker or licensed clinical professional counselor for a
period of not less than 5 years.
(Source: P.A. 86-1434.)
Section 99. Effective date. This Act takes effect upon
becoming law.
Passed in the General Assembly May 01, 2001.
Approved July 27, 2001.
Effective July 27, 2001.
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